Dermatology Allergy General Physicians of Ohio Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35 05 8434M Issued in OH

Legal business name

DERMATOLOGY ALLERGY GENERAL PHYSICIANS OF OHIO INC

Practice address

37 North Plaza Boulevard
Chillicothe, OH 45601-1759

Phone

(740) 772-6600

Fax

(740) 775-9863

NPI assigned

Jun 6, 2007

Last updated

Oct 5, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Theresa Lynn McFarland

Title

Corporation Secretary

Phone

(937) 233-0748

Specialties & licenses 3

Addresses

Other identifiers 7

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1568665891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 BRANDT PIKE",
            "address_2": "SUITE A",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454246138",
            "telephone_number": "937-233-0748",
            "fax_number": "937-233-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 NORTH PLAZA BOULEVARD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011759",
            "telephone_number": "740-772-6600",
            "fax_number": "740-775-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ALLERGY GENERAL PHYSICIANS OF OHIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "MCFARLAND",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CORPORATION SECRETARY",
        "authorized_official_telephone_number": "937-233-0748",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35 04 3565M",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35 05 8434M",
            "primary": true
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "OH",
            "license": "34003765F",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000011382",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000011437",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMO PIN",
            "identifier": "368588672036",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL PIN",
            "identifier": "485805933027",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "485805933016",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "9190161",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000011390",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Dennis, RN
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• Binnie Desai
• Holly J Dethardt, MT-BC
• Ashley Anne Detillion, MSN,RN, NP-C
• Callie Michael Detillion
• Amber Detty

• Internal Medicine Physician in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.